Healthcare provider and parent behavior and children's coping and distress at anesthesia induction.
Healthcare provider and parent behavior and children's coping and distress at anesthesia induction.
复制标题
DOI：
10.1097/aln.0b013e3181c14be5
复制
发表时间：
2009-12
期刊：
影响因子：
8.8
通讯作者：
Kain ZN
中科院分区：
文献类型：
--
作者：
Chorney JM;Torrey C;Blount R;McLaren CE;Chen WP;Kain ZN
到目前为止，还没有研究评估具体的医疗服务提供者和父母的行为对儿童的痛苦在麻醉诱导的影响。收集了293例2至10岁儿童在父母在场的情况下接受麻醉诱导的大量数字视频数据。麻醉师，护士，和父母的行为和儿童的痛苦和应对编码使用修订的术前儿童-成人医疗程序的互动量表管理使用专门的编码软件。麻醉师和家长参与的大多数行为的比率高于护士。总体而言，成人情绪集中的行为，如移情和放心是显着的正相关儿童的困扰和儿童的应对行为呈负相关。成年人的分心行为，如幽默和分心谈话，表现出相反的模式。麻醉医师的医学再解释与儿童的应对行为呈显著正相关，但父母的相同行为与儿童的痛苦呈显著正相关。本文提供的数据为成人行为与儿童麻醉诱导时的痛苦和应对之间的关系提供了证据。这些行为是可训练的，因此有可能在未来的研究中测试修改医生行为是否会影响儿童行为。
To date, no study has evaluated the impact of specific healthcare provider and parent behaviors on children’s distress during anesthesia induction. Extensive digital video data were collected on 293, 2 to 10 year old children undergoing anesthesia induction with a parent present. Anesthesiologist, nurse, and parent behavior and children’s distress and coping were coded using the Revised Preoperative Child-Adult Medical Procedure Interaction Scale administered using specialized coding software. Anesthesiologists and parents engaged in higher rates of most behaviors than nurses. Overall, adult emotion-focused behavior such as Empathy and Reassurance was significantly positively related to children’s distress and negatively related to children’s coping behaviors. Adult distracting behavior such as humor and distracting talk showed the opposite pattern. Medical reinterpretation by anesthesiologists was significantly positively related to children’s coping behaviors, but the same behavior by parents was significantly positively related to children’s distress. The data presented here provide evidence for a relation between adult behaviors and children’s distress and coping at anesthesia induction. These behaviors are trainable and hence it is possible to test if modifying physician behavior can influence child behavior in future studies.